Killing Us Softly: The Sense and Nonsense of Alternative Medicine. Dr Offit Paul

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      To all the science writers, science advocates, and science bloggers who have dared proclaim that the emperors of pseudoscience have no clothes

      When religion was strong and science weak,

      men mistook magic for medicine.

      Now, when science is strong and religion weak,

      men mistake medicine for magic.

      —THOMAS SZASZ

      Contents

       Title Page

       Dedication

       Epigraph

      Prologue: Taking a Look at Alternative Medicine

      Introduction: Saving Joey Hofbauer

Part I: Distrust of Modern Medicine

1. Rediscovering the Past: Mehmet Oz and His Superstars

Part II: The Lure of All Things Natural

2. The Vitamin Craze: Linus Pauling’s Ironic Legacy

Part III: Little Supplement Makers Versus Big Pharma

3. The Supplement Industry Gets a Free Pass: Neutering the FDA

       4. Fifty-One Thousand New Supplements: Which Ones Work?

       Part IV: When the Stars Shine on Alternative Medicine

       5. Menopause and Aging: Suzanne Somers Weighs In

       6. Autism’s Pied Piper: Jenny McCarthy’s Crusade

       7. Chronic Lyme Disease: The Blumenthal Affair

       Part V: The Hope Business

       8. Curing Cancer: Steve Jobs, Shark Cartilage, Coffee Enemas, and More

       9. Sick Children, Desperate Parents: Stanislaw Burzynski’s Urine Cure

       Part VI: Charismatic Healers Are Hard to Resist

       10. Magic Potions in the Twenty-First Century: Rashid Buttar and the Lure of Personality

       Part VII: Why Some Alternative Therapies Really Do Work

       11. The Remarkably Powerful, Highly Underrated Placebo Response

       12. When Alternative Medicine Becomes Quackery

       Epilogue: Albert Schweitzer and the Witch Doctor: A Parable

       Notes

       Selected Bibliography

       Acknowledgments

       About the Author

       Also by Dr Paul Offit

       Copyright

       About the Publisher

       PROLOGUE

       Taking a Look at Alternative Medicine

      People love alternative medicine. They go to their acupuncturist or chiropractor or naturopath to relieve pain. They take ginkgo for memory or homeopathic remedies for the flu or megavitamins for energy or Chinese herbs for potency or Indian spices to boost their immune systems. Fifty percent of Americans use some form of alternative medicine; 10 percent use it on their children. It’s a $34-billion-a-year business. In the EU, alternative remedies are also popular; more than 100 million people use them. My friends are no different. One uses cold laser therapy for his allergies, another takes a homeopathic remedy named oscillococcinum to cure her colds, and a third swears that acupuncture is the only thing that relieves his back pain.

      Furthermore, alternative medicine—which in the 1960s was denigrated as fringe or unconventional medicine—has entered the mainstream. Hospitals have dietary supplements on their formularies or offer Reiki masters to cancer patients or teach medical students how to manipulate healing energies. In 2010, a survey of six thousand hospitals found that 42 percent offered some form of alternative therapies. When asked why, almost all responded, “patient demand.” In the United Kingdom, five homeopathic hospitals work within the National Health Service. Big Pharma is also jumping in. On February 27, 2012, Pfizer acquired Alacer Corporation, one of the country’s largest manufacturers of megavitamins.

      The reason alternative therapies are popular is simple. Mainstream doctors are perceived as uncaring and dictatorial, offering unnatural remedies with intolerable side effects. Alternative healers, on the other hand, provide natural remedies instead of artificial ones, comfort instead of distance, and individual attention instead of take-a-number-and-wait-your-turn inattention.

      Like many people who have spent time in today’s health-care system, my experiences have been largely disappointing.

      I was born with clubfeet. Within hours, both feet were put in casts; the left foot healed; the right didn’t. When I was five years old, a surgical procedure was performed on my right foot; one of the first of its kind, my case was later written up in a medical journal. The good news is that my right foot no longer turns awkwardly down and inward. The bad news is that walking is always somewhat painful for me.

      While in medical school, I volunteered for a twenty-five-mile walkathon for the National Multiple Sclerosis Society. After completing the walk, the pain in my foot was so bad I had to use crutches for a few days. I visited an orthopedist, who told me I had severe osteoarthritis and that my X-ray looked like that of a seventy-year-old man. I was twenty-four. For most of my adult life, I’ve tried conventional nonnarcotic pain medicines without relief.

      When I was in my thirties, I noticed a small dark spot—no bigger than the head of a pin—on the front of my nose. I ignored it. Twelve years later, my wife suggested I have it removed. The procedure was fast and painless. But a few days later, the dermatologist called with some bad news. He had received a report from the pathologist. The diagnosis: metastatic malignant melanoma. A death sentence.

      I panicked and immediately called the pathologist. “This diagnosis doesn’t make any sense,” I pleaded. “How could I have a metastatic lesion on only one part of my body that has remained unchanged for more than a decade? And where’s the primary cancer, the place from which the metastasis had supposedly spread? Doesn’t this make me the longest-living survivor of untreated metastatic melanoma in history?!” The pathologist was sympathetic but unfazed. The diagnosis was what it was. If I wanted her to, however, she was willing to send my biopsy to the nation’s foremost expert on melanoma: